Shaddy, Kasilynn Alese

Shaddy, Kasilynn Alese is an individual health care provider with primary practice located at 3300 W Sunset Ave , Springdale AR 72762-4950. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shaddy, Kasilynn Alese can be contacted via phone (479) 717-7089.

Contact Information

Primary practice address
3300 W Sunset Ave Springdale AR 72762-4950
Phone: (479) 717-7089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 125710 Arkansas

Profile Details

NPI number 1144836909
LBN Legal business name Shaddy, Kasilynn Alese
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2020
Last updated Sep 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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